Provider Demographics
NPI:1023683430
Name:CHARLES, NOREEN JOHANNA (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:JOHANNA
Last Name:CHARLES
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 E SANFORD ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3534
Mailing Address - Country:US
Mailing Address - Phone:929-259-2670
Mailing Address - Fax:
Practice Address - Street 1:81 E SANFORD ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3534
Practice Address - Country:US
Practice Address - Phone:929-259-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist